NPI | 1043495542 |
---|---|
Former Name | STEPHANIE M. MAROK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH NP-09516) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH NP-09516) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2025-08-06 |